Gaspari, Jack C

Gaspari, Jack C is an individual health care provider with primary practice located at 1305 W 18Th St , Sioux Falls SD 57105-0401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gaspari, Jack C can be contacted via phone (605) 338-5488.

Contact Information

Primary practice address
1305 W 18Th St Sioux Falls SD 57105-0401
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4481 South Dakota

Profile Details

NPI number 1659347987
LBN Legal business name Gaspari, Jack C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Apr 17th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659347987 NPPES
Texas MEDICAID 1632895-01
Texas Other 50P05GA
Texas MEDICAID 209336106
Texas MEDICAID 0509786
Texas MEDICAID 551713300
Texas Other 0005667
Texas MEDICAID 5707160

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